DR. ANTHONY J ANDERSON (NPI# 1508021726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508021726 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY J ANDERSON |
| Credential | MD |
| Practice Address |
1501 Hiland Ave Ste A Burley ID 83318-2682 |
| Practice Telephone | 2088789432 |
| Mailing Telephone | 2088789432 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2010-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M-11018 | ID | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 52403-020 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 2723 | WI | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | TEP | 2723 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619427374 | Anthony Jamaal Anderson | Specialist | 295 Debuys Rd, Gulfport, MS 39507-2800 | 2016-10-06 |
| 1679524094 | Anthony Anderson | Anesthesiology | 1479a U.S. Highway 61, Festus, MO 63028-4123 | 2006-05-12 |
| 1760445514 | Anthony Shane Anderson | Internal Medicine | 1515 W Cornwallis Dr, Suite G103, Greensboro, NC 27408-6338 | 2006-04-11 |
| 1508466491 | Anthony Anderson | Pharmacist | 1140 E Stuart Dr, Galax, VA 24333-2630 | 2020-10-29 |
| 1073139663 | Anthony Anderson | Pharmacist | 2110 Stringtown Rd, Grove City, OH 43123-2931 | 2020-06-19 |
| 1710515986 | Anthony Davis Anderson | Pharmacist | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-04-01 |
| 1548723356 | Anthony Alan Anderson | Case Manager/Care Coordinator | 55 Bluff Lake Rd, Mascotte, FL 34753-9536 | 2019-04-09 |
| 1427539774 | Anthony Anderson | Occupational Therapy Assistant | 5598 8th St W Unit 3, Lehigh Acres, FL 33971-6341 | 2018-08-24 |
| 1104314996 | Anthony Anderson | Community/Behavioral Health | 2882 Cricket Ln, Willoughby Hills, OH 44092-1412 | 2018-04-26 |
| 1780011015 | Anthony E Anderson | Counselor | 5209 W. Wendover Ave, High Point, NC 27265-9177 | 2013-10-01 |
| Street Address |
1501 HILAND AVE STE A |
| City | BURLEY |
| State | ID |
| Zip Code | 83318-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952744641 | R Bret Campbell Do & Assoc LLC | Nurse Practitioner | 1501 Hiland Ave Ste A, Burley, ID 83318-2688 | 2013-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902366834 | Pain & Spine Consultants | Clinic/Center | 1344 Hiland Avenue, Ste A, Burley, ID 83318 | 2019-03-25 |
| 1609335090 | Hurst Medical Pllc | Clinic/Center | 1700 Overland Ave Ste 1, Burley, ID 83318 | 2019-03-15 |
| 1831654243 | Mini-cassia Hearts 4 Seniors | In Home Supportive Care | 135 East 23rd Drive, Burley, ID 83318 | 2019-02-11 |
| 1841760493 | Burley Family Dental Pllc | Dentist | 2200 Parke Ave Ste 2, Burley, ID 83318 | 2018-11-27 |
| 1831634823 | Skye Fahnlander | Occupational Therapy Assistant | 2303 Parke Ave, Burley, ID 83318 | 2016-12-29 |
| 1285024497 | Albion Valley Health Clinic Inc. | Clinic/Center | 400 West 5th Street, Burley, ID 83318 | 2015-01-26 |
| 1124372370 | A Plus Solutions Center | Clinic/Center | 2311 Parke Ave. Unit 3, Suite 12, Burley, ID 83318 | 2012-11-08 |
| 1831442805 | A Plus Solutions Developmental Center LLC | Day Training, Developmentally Disabled Services | 2251 Overland Avenue, Suite Number 5, Burley, ID 83318 | 2012-10-16 |
| 1619258159 | Keleah Margrete Goldammer | Occupational Therapist | 2303 Parke Avenue, Burley, ID 83318 | 2011-08-29 |
| 1932490984 | Tamera Chatburn | Counselor | 531 East 5th St., Preferred Child and Family Services, Burley, ID 83318 | 2011-04-26 |
| Find all providers in zip 83318 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558604231 | Anthony J Anderson Md & Assoc LLC | Family Medicine | 1404 Pomerelle Ave Ste B, Burley, ID 83318-2013 | 2013-04-01 |
| 1821106899 | Michael P Klett | Family Medicine | 1252 Bennett Ave., Ste B, Burley, ID 83318-2664 | 2006-08-29 |
| 1467419150 | Matthew David Detemple | Family Medicine | 1308 Bennett Ave, Burley, ID 83318-2665 | 2006-04-27 |
| 1578542213 | Glen E Page | Family Medicine | 1252 Bennett Ave Ste B, Burley, ID 83318-2664 | 2006-01-11 |
| 1215926407 | Alan S. Nelson | Family Medicine | 1404 Pomerelle Ave., Suite A2, Burley, ID 83318 | 2005-10-19 |
| 1902891484 | Bernard R Boehmer | Family Medicine | 1335 Albion Ave, Burley, ID 83318-1817 | 2005-09-12 |
| 1629540422 | Maria G. Rivera | Family Medicine | 1501 Hiland Ave, Burley, ID 83318-2688 | 2018-12-19 |
| 1487151882 | Page Family Medicine | Family Medicine | 1252 Bennett Ave, Suite B, Burley, ID 83318 | 2018-04-11 |
| 1164834040 | David Miller | Family Medicine | 1309 Bennett Ave, Burley, ID 83318 | 2014-05-27 |
| 1346689213 | Devin Kent Higgins | Family Medicine | 1501 Hiland Ave, Burley, ID 83318-2688 | 2013-06-24 |
| Find all providers in BURLEY | ||||
Please comment or provide details below to improve the information on DR. ANTHONY J ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.